Riverside Community Care
NPI #1902199805 in Pawtucket, Rhode Island
Provider Information
- NPI Number
- 1902199805
- Entity Type
- Organization
- Organization Name
- Riverside Community Care
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- May 25, 2011
- Last Updated
- May 25, 2011
Practice Location
- Address
- 34 POTTER ST
- City
- Pawtucket
- State
- Rhode Island
- ZIP Code
- 02860-4222
- Phone
- (401) 258-1621
Authorized Official
- Name
- JESSICA M COSTIGAN
- Title
- JAIL DIVERSION CLINICIAN
- Phone
- (401) 258-1621
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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